MEDICARE: SONYA J SCHULTZ PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	4049-24	WI

General Provider Information

NPI Number	:	1952938235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA J SCHULTZ PT

Provider Business Mailing Address
First Line	:	851 FERN AVE
Second Line	:
City	:	GRAND MARSH
State	:	WI
Zip	:	53936-9681
Country	:	US
Telephone Number	:	608-584-4496
Fax Number	:

Provider Business Practice Location Address
First Line	:	2802 WALTON COMMONS LN
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53718-6785
Country	:	US
Telephone Number	:	608-669-2775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2020
Last Update Date	:	03/25/2020

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Directions to “ SONYA J SCHULTZ PT” Practice Location

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